If you are a Christian Single Adult in the Long Island / NY metro area and would like to be notified about events that may interest Single to Single Again Adults, All Ages, please feel free to submit the form below. This list will be maintained by the Director of the
Activities/Events and Christian Singles Groups web site, for the
purpose of increasing attendance at Christian events and Christian
single adult events in Long Island. Notification about events may also be received from churches and other ministries.(Be sure to check or uncheck local/regional/national/international preferences below.)

Note: If your city/state/zip code entered is not commuting distance to the Long Island area and you still wish to be informed about events in the Long Island area, kindly indicate your interest regarding Long Island events in the comments section of this form or click here to enter your information.

All required fields must
be completed for this form to be submitted.

Contact Information:

* PLEASE NOTE: Fields with '*' are required.

* Email Address:

* Last Name:

* First Name:

Street or P.O. Box:

(optional)

Line 2:

(optional)

* City:

* State /
Possession / Province:

* Zip Code:

* County:

Telephone:

* Age Group:

18-25
26-35
36-45
46-55
56-65
65+

* Male / Female:

Male
Female

Distance you are willing to travel to a single adult event: (Local / Regional / National / International) ?
Regional event --> Commute up to about 300 miles by car such as a retreat or conference event.
National USA / National Canada event --> Geographic location may require air travel.
International event --> Geographic location most likely requires air travel.

Geographic area for receiving
event information (such as retreats/conferences):Check all that apply:Local
Regional National:
USA
Canada
InternationalLocal and Regional are checked by default. Check or uncheck as applicable.

Receive e-mail about upcoming
Christian single adult 3-8 day cruises:

Yes

Name
of Church or Organization, City, State, Zip:(maximum
250 characters)